HomeMy WebLinkAboutXR2023-1833 - Permits�EWPOT
of Newport Bnt each
wnt-Building Division
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COMB Permit: XR2023-1833m
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
Plan Check No : 1682-2020
Issued Date : 08/09/2023
newportbeachca.govcivic
Combination Type /- SFP
Final
Permit Issued
Work Class - Alteration
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Inspection Area : 8
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 1343 MARINERS DR Legal Desc : N TR 3763 BLK LOT 12
Description : DELTA 9 REVISION & ADD'L SCOPE TO REPLACE (E) WROUGHT IRON GUARDRAIL WITH IN) GLASS GUARDRAIL @ BALCONY AND ST
(REV2023-1275)
Owner: BERGEN CHRISTOPHER VOLNEY
HEATHER COE
Address : 1343 MARINERS DR
NEWPORT BEACH, CA 92660
Phone: (602)421-3019
/ KIENY Contractor: CITY CONSTRUCTION
Applicant: ALI ZONOUZ
Address : 15560 Rockfeld Boulevard, 212 15560 Rockfield
Boulevard
Irvine, CA 92618
Phone: (747)265-0079
Owner/Builder
Address :
Address :
20392 ACRE PLACE
ANAHEIM, CA 92809
Phone:
(714)323-0545
Cori Lic
: 551125
Lic Expire :
05/31/2025
Bus Lic:
BT30081437
Bus Lic Expire : 04/30/2024
Workers' Compensation Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No : 1976240
W. C. Expire : 7/1/2024
Architect: HEFNER CHARLES
Address: 6320 VAN NUYS BLVD #225 VAN NUYS,
CA 91401
Phone: (818)997-1030
State Lic :
Engineer
Address
Phone:
Designer:
Address
Phone: Phone
YAGHI SHUCRI 1
112 E. CHAPMAN #D
ORANGE, CA 92866
(714)997-9120
Code Edition :
2019
Fire Sprinklers : NO
Construction Valuation : $10,000.00. , ,
Type of Construction :
V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0 ,
Occupancy Groups :
U
No of Units : 1
Alteration sq. ft. Bldg : ,
Bldg Height:
No of Stories : 2
Added/New sq. ft. Garage : 0 -
TOTAL sq. ft. 0
Building Setbacks :
Front: 20,
Side: 6, Side: 6, Rear: 6
Flood Zone :
X
Use Zone :
R-1-6000
- Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that t am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Items)
Section 7031.5, Business and Professions Code; Any city or County that requires a peril to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for
IS permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State Licanso Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions Code) or that he or she is exempt from lieensure and the basis for the alleged exemption. Any violation of Suction 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
1 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the Work, and the structure is not intended or offered for sale (Section 7044,
usiness and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who, through employeesor personal effort, builds or improves the properly, provided that the
nprovements are not Intended or offered for sale If, however, the building or Improvement is sold within one year or completion. the Owner -Builder will have the burden of proving that it was not built or
nproved for the purpose of sale).
1, as ownar or the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Coded The Contractors' State License Law does not
ply to an owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors State License Law)
I am exempt from lirensure under the Contractors' Stale License Law for the following reason
,y my signature. below I acknowledge III except for my personal residence in which I must have resided for at least one year prior to completion of the Improvements covered by this permit, I cannot Iagally
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/ivmw,leginfo.ca.gov/calaw.htmi.
�ignnhrre of Property Owner or Authorized Agent _. _........_—._.__ _ Date
.ICEN.SED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pro sI Code. and _ icensa Is in full force
nd effect. License Class License No Date �._9_ 2023 Contractor Signature
VORKERS' COMPENSATION DECLARATION
'ARNINGG FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRNINAL PENALTIES AND CIVIL FIN" UP TOONE HUNDRED THOUSAND DOLLARS LI100,000), IN AODTION TO THE
DST of CO MPENSATWN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE., INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations,
I have and will maintain a certificate of consent to self -Insure for workars' Compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
ormance of the work for which this permit is issued. Policy No.
and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this pehoit is issued. My workers'
carder and pulley number are:
Policy Number
of Agent
Dale
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
I, if I should become subject to the workers cyrnpensation provisions of Section 3700 of the Labor Code, I shall forthwith corn ply with those provisions,
of
Date.`TT-2G
na'.ry affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code),.
Iders Name..__......_....._.._.___.___...__......_...___.._..___._.__.._.__.�._.___...,.�_._,_ Lender's Address
Try signature below. I certify to each of the following:
I am the prere,ty owner or authorized to act on the property owner's behalf.
I have read thPR application and the information I have provided is Correct.
I agree to comely with all applicable city and county ordinances and state laws relating to building construction.
' aulhori_e . apredenlatives of this city or county�t�, aatlr the above -identified r any for inspection purposes. [�
nature of PI'obeitV Owner or Auplonzc-d Agent ✓i 7 — I �_-r a Pnrn( Property Owner's- or Authorized Ari Name Dll this
kCION 1
i
DATE ''. BY DECLARATION OF CONIPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART FI OF TITLE' 40 AND ARMD RUI.F
1403
FOR OFFICE USE ONLY
PERN41F EXIsPED
I SURt,41TT6D ASBESTOS NOTIFICATION TO
PFR41 7 CANCELi. F0
_
rFWnIT EXTENDED
VLFr1)FI ANAL
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NO rIPICAT_ IEC1N by APPL -ABLE TO
CFFTIFICAT! Oh
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OPOSEDE:S
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